NPIMap

Organization Active NPI

Morris Medical Center, LTD.

  • Gynecology Physician
  • Morris, IL
National Provider Identifier
1699951293
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
MORRIS MEDICAL CENTER, LTD.
Practice address
107 W Jefferson St
Morris, IL 60450-2128
Phone
(815) 942-0683
Fax
(815) 942-5624
NPI assigned
Jan 14, 2008
Last updated
Jan 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John B. Roth Jr., M.D.NPI 1447396361
Title
President
Phone
(815) 942-0683

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X IL Primary

Addresses

Primary practice location

107 W Jefferson St
Morris, IL 60450-2128

Mailing address

107 W Jefferson St
Morris, IL 60450-2128
Phone (815) 942-0683

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1699951293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W JEFFERSON ST",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604502128",
            "telephone_number": "815-942-0683",
            "fax_number": "815-942-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W JEFFERSON ST",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604502128",
            "telephone_number": "815-942-0683",
            "fax_number": "815-942-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORRIS MEDICAL CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-942-0683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.